2013
DOI: 10.4103/0970-9185.111657
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The fatigued anesthesiologist: A threat to patient safety?

Abstract: Universally, anesthesiologists are expected to be knowledgeable, astutely responding to clinical challenges while maintaining a prolonged vigilance for administration of safe anesthesia and critical care. A fatigued anesthesiologist is the consequence of cumulative acuity, manifesting as decreased motor and cognitive powers. This results in impaired judgement, late and inadequate responses to clinical changes, poor communication and inadequate record keeping. With rising expectations and increased medico-legal… Show more

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Cited by 51 publications
(44 citation statements)
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“…Fewer fatigued providers on the day shift may have lowered mortality. 2728 Second, during this study we placed significant educational emphasis on the need to monitor patient outcomes and modify clinical practice to improve outcomes. It is possible that emphasis on monitoring and improving outcome metrics engendered increased vigilance and more diligent care during each case.…”
Section: Discussionmentioning
confidence: 99%
“…Fewer fatigued providers on the day shift may have lowered mortality. 2728 Second, during this study we placed significant educational emphasis on the need to monitor patient outcomes and modify clinical practice to improve outcomes. It is possible that emphasis on monitoring and improving outcome metrics engendered increased vigilance and more diligent care during each case.…”
Section: Discussionmentioning
confidence: 99%
“…Healthcare professions are of high sensitivity in nature due to concerns around patient's safety in the hospitals, increasing probability of human errors in tired personnel as well as and weak psychomotor and cognitive performance. (17,18). Moreover, the increased workload can increase job pressures and cause difficulties in the decision making process in the healthcare personnel.…”
Section: Introductionmentioning
confidence: 99%
“…Hal ini dapat berimplikasi terhadap gangguan dalam mengambil keputusan, mempengaruhi daya ingat, terlambatnya atau tidak adekuatnya respons terhadap perubahan klinis, berkurangnya perhatian dan konsentrasi, buruknya komunikasi serta tidak adekuatnya dalam pencatatan rekam medis, padahal dalam keadaan gawat darurat seorang anestesiologis harus dapat membuat keputusan cepat dan tepat kadang dengan informasi yang sangat terbatas. [5][6][7][8] Penelitian oleh Karanovic dkk. 9 pada anestesiologis di The Split University Hospital (Croatia) mendapatkan terjadi perubahan fungsi kognitif dan psikomotor pada anestesiologis yang bertugas di IGD setelah mereka melaksanakan tugas selama 24 jam.…”
Section: Pendahuluanunclassified